Osteosynthesis of the Proximal Humerus – Medial Plate

Partial consolidation in proximal humerus fractures with medial shearing represents a frequent challenge in orthopedic practice, hindering anatomical reduction and adequate stabilization.

This training presents, in high definition and from the surgeon's perspective, the application of the medial anti-shear plate associated with the low-profile lateral plate , demonstrating step-by-step the indirect reduction, preservation of anatomical structures, and biomechanical stabilization of the fracture.

Training Focus:

• Indirect reduction of a proximal humerus fracture using medial shear.
• Combined fixation: anti-shear medial plate + low-profile lateral plate.
• Deltopectoral approach with selective tenotomies for exposure.
• Tissue and vascular preservation (subscapular, deltoid, cephalic vein).
• High-strength suture closure techniques for anterior stability.

Detailed Content:

• Indirect Reduction with a Plate: Using the plate itself as a lever to overcome partial consolidation and restore the height of the humeral head.
• Advanced Biomechanical Stability: Combination of medial anti-shear plate with lateral plate → resistance against shear and rotation.
• Intelligent Surgical Planning: A positioning strategy that allows for multiple rotations and expands access without muscle incisions.
• Tissue Preservation: A technique that reduces bleeding, preserves muscle mass and anatomical structures (deltoid and cephalic vein).
• Functional Closure: Reinforcement of the subscapularis muscle with high-strength suture, preventing postoperative anterior instability.
• Immersive 4K Visualization: Anatomical details, instruments, and technical decisions presented from the surgeon's perspective.

Materials Included:

Detailed PDF: Practical guide with surgical planning, deltopectoral approach technique, indirect reduction sequence, fixation with medial and lateral plates, and closure care. Includes step-by-step instructions for direct application in orthopedic practice.

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